Search › Michigan › 225X00000X
Jesse Nicodemus, MOT
NPI 1386114734 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2320 E Beltline Ave Se
Grand Rapids, MI 49546 - Phone
- (616) 831-8666
- Organisation at this address
- Grand Rapids Snf, Llc
Gregory A. Kuldanek P.C.
Optalis Beltline Opco, Llc
Heartland Of Grand Rapids Mi LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan